State of Connecticut, and State of California, Plaintiffs-Intervenors v. Richard S. Schweiker, Secretary of Health and Human Services

684 F.2d 979, 221 U.S. App. D.C. 457
CourtCourt of Appeals for the D.C. Circuit
DecidedJuly 27, 1982
Docket81-2090
StatusPublished
Cited by28 cases

This text of 684 F.2d 979 (State of Connecticut, and State of California, Plaintiffs-Intervenors v. Richard S. Schweiker, Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State of Connecticut, and State of California, Plaintiffs-Intervenors v. Richard S. Schweiker, Secretary of Health and Human Services, 684 F.2d 979, 221 U.S. App. D.C. 457 (D.C. Cir. 1982).

Opinion

HARRY T. EDWARDS, Circuit Judge:

In this case we are called upon to determine whether Congress appropriated funds in fiscal year 1981 to reimburse the ten appellant States for expenditures they incurred prior to September 30, 1978 in operating various programs under the Social Security Act. The States submitted these “prior-period” claims for reimbursement, totalling approximately 382 million dollars, to appellee Department of Health and Human Services (“HHS”). HHS refused to process the claims, however, on the ground that they were not timely filed under the 1981 appropriations laws and thus could not be paid out of fiscal year 1981 funds. Appellants filed this suit for declaratory and injunctive relief, seeking to compel HHS to process the disputed claims and to have an appropriate portion of otherwise unobligat-ed funds for fiscal year 1981 reserved for the payment of the pending claims.

Briefly stated, the central issue in this litigation involves an apparent conflict between two congressional enactments — a 1980 amendment to the Social Security Act and the continuing appropriations resolutions for HHS for fiscal year 1981. HHS contended before the District Court, as it does on appeal, that the 1981 continuing appropriations resolutions incorporated a restriction from an earlier appropriations bill. That restriction prohibited payment of claims for expenditures incurred prior to September 30, 1978 if the claims were not filed within one year after the expenditures were made. Because the appellant States did not meet this one-year time limit in filing the prior-period claims at issue here, HHS maintained that the claims could not be paid out of fiscal year 1981 funds. The District Court accepted this argument and dismissed appellants’ suit.

Appellants contend that a 1980 amendment to the Social Security Act — section 306 of Public Law No. 96-272 — established permanent time limits for filing claims for reimbursement, including the type of prior-period claims at issue in this case. Based principally on the language and legislative history of section 306, they argue that the time limits in that provision control in this case. Having complied with the provisions of section 306, appellants insist that HHS could not lawfully refuse to pay their prior-period claims out of fiscal year 1981 funds and that the District Court erred in dismissing their suit.

For the reasons set forth below, we agree that section 306 is controlling in this case and, consequently, that the 1981 appropriations laws do not prohibit the use of fiscal year 1981 funds to pay the prior-period claims filed by appellants in accordance with section 306. As explained below, we also reject the Government’s contention that, under the circumstances of this case, appellants are no longer entitled to injunc-tive relief. We therefore reverse the District Court’s decision and remand for the District Court to fashion appropriate relief.

I. Background

The states for many years have operated, in cooperation with the federal government, certain public assistance programs under the Social Security Act, 42 U.S.C. §§ 301-1397f (1976 & Supp. IV 1980). 1 Under the Act, the states are entitled to reimbursement for a specified percentage of their actual expenditures in operating the programs. To be eligible for reimbursement, *982 the states must have a plan, approved by HHS, for each social security program in operation. HHS provides the federal funds, called “federal financial participation” (“FFP”), for reimbursement of the participating states. HHS generally makes grants to the states prior to each calendar quarter based on estimates of the states’ anticipated expenditures. The states submit reports after each quarter showing their actual program expenditures. HHS eliminates any discrepancies between estimated and actual expenditures by adjusting the states’ grants for the next calendar quarter. See, e.g., 42 U.S.C. §§ 1396a-1396b (1976).

For a number of reasons, the states have regularly included in their quarterly reports previously unreported expenditures incurred in earlier quarters. Known as prior-period adjustments, these are, in effect, claims for reimbursement for earlier expenditures. Until 1980, the Social Security Act contained no time limits on submitting claims for prior-period expenditures. The absence of any time limits apparently made it more difficult for HHS to plan and administer the budget for the various Social Security Act programs. This case stems from Congress’ efforts to deal with this problem.

A. Relevant Legislation

H.R. 4389. Both the House and the Senate passed provisions in the fiscal year 1980 appropriations bill for the Departments of Labor and Health, Education, and Welfare (“HEW”) which stated: “No payment shall be made from this appropriation to reimburse State or local expenditures made pri- or to September 30, 1978.” H.R. 4389, 96th Cong., 1st Sess. (1979); H.R.Rep.No.400, 96th Cong., 1st Sess. 18 (1979) (Conference Report). 2 Despite the language suggesting otherwise, the Conference Report on H.R. 4389 made clear that this provision was not intended to be an absolute bar to reimbursement of pre-September 30, 1978 expenditures; rather, the conferees stated, “This language provides for a one year limitation on the time period available to the States during which they can claim Federal matching funds for State or local expenditures” incurred prior to September 30,1978. Id.

1980 Continuing Appropriations Resolutions. The conference version of H.R. 4389 never passed the Senate, however, because of an irreconcilable conflict with the House over a provision concerning federal funding of abortions. As a result, Congress never enacted a full appropriations statute for HEW for 1980. Instead, it adopted continuing appropriations resolutions that appropriated funds for HEW in accordance with the provisions of H.R. 4389 as it had passed the House. The resolutions appropriated

[s]uch amounts as may be necessary for projects or activities provided for in the Departments of Labor, and Health, Education, and Welfare and Related Agencies Appropriations Act, 1980 (H.R. 4389), at a rate of operations, and to the extent and in the manner, provided for in such Act as adopted by the House of Representatives on August 2, 1979 ....

Act of Oct. 12, 1979, Pub.L.No. 96-86, § 101(j), 93 Stat. 656, 659 (1979); Act of Nov. 20, 1979, Pub.L.No. 96-123, § 101(g), 93 Stat. 923, 925 (1979). 3

*983 Section 306. While the conference version of H.R. 4389 was still pending, Congress was also considering amending the Social Security Act itself to incorporate permanent time limits on state filings of reimbursement claims. Congress ultimately enacted these time limits as part of the Adoption Assistance and Child Welfare Act of 1980, Pub.L.No. 96-272, § 306, 94 Stat. 500, 530-31 (1980) (codified at 42 U.S.C.

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Bluebook (online)
684 F.2d 979, 221 U.S. App. D.C. 457, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-of-connecticut-and-state-of-california-plaintiffs-intervenors-v-cadc-1982.